MICHAEL ALLEN PHELPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ALLEN

Last Name

PHELPS

Business Name

MICHAEL ALLEN PHELPS MD

Original Issue Date

03/11/1996

Effective Date

03/11/1996

Expiration Date

07/31/2002

City

DAVENPORT

State

Zip

52803

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020